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Advanced Techniques in Diagnostic Microbiology

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20. Analysis of 16S rRNA Gene Sequence 325<br />

Methodology<br />

Four steps are required to reach bacterial identification through 16S rDNA sequenc<strong>in</strong>g:<br />

DNA extraction, PCR amplification, nucleotide sequenc<strong>in</strong>g, and database<br />

homology search and report<strong>in</strong>g.<br />

DNA Extraction<br />

Pure culture of a bacterium is generally required for its identification. One or<br />

two isolated colonies or a visible pellet from pure liquid culture conta<strong>in</strong> up to<br />

10 10 cells, and the extracted DNA will be sufficient for many subsequent PCRs.<br />

Various DNA extraction methods can be used, such as traditional phenol chloroform<br />

method, commercial DNA extraction kits, and so forth. Pure culture and<br />

relatively large quantity of target DNA makes contam<strong>in</strong>ation by background DNA<br />

from reagents and other sources almost negligible. Because the extracted DNA<br />

will be amplified by PCR, its purity requirement is not strict either. Therefore,<br />

for rout<strong>in</strong>e cl<strong>in</strong>ical application, the simpler and quicker the method is, the better.<br />

Here is a simple method used <strong>in</strong> our laboratory (Han et al., 2002). Two<br />

colonies or the pellet of 1 mL positive liquid medium (upon confirmation of purity<br />

by sta<strong>in</strong><strong>in</strong>g) are resuspended <strong>in</strong> 200 μL extraction solution (Prepman Ultra;)<br />

(Applied Biosystems, Foster City, CA, USA). The suspension is boiled for 10<br />

m<strong>in</strong> and centrifuged for 5 m<strong>in</strong> at 8000 × g, and the genomic DNA is extracted<br />

<strong>in</strong> the supernatant. One percent of the supernatant (2 μL) is used for subsequent<br />

PCR.<br />

PCR<br />

The amplification by PCR is no different from other PCR methods. Thermal cycles<br />

and conditions vary slightly depend<strong>in</strong>g on polymerase and primers. PCR product<br />

can be exam<strong>in</strong>ed and the amount estimated visually on an agarose gel electrophoresis.<br />

This step, however, be<strong>in</strong>g <strong>in</strong>termediate, is not essential. In our experience with<br />

universal primers and mycobacteria-specific primers (Han et al., 2002), PCR are<br />

robust and yield sufficient amplicons for sequenc<strong>in</strong>g to obviate the electrophoresis<br />

step.<br />

Nucleotide Sequenc<strong>in</strong>g<br />

The PCR amplicon can be sequenced directly after removal of unpolymerized<br />

primers and deoxynucleoside triphosphates that is achieved by enzymatic digestion<br />

with exonuclease and shrimp alkal<strong>in</strong>e phosphatase. No further purification or<br />

concentration of the amplicon is generally necessary. Automated sequenc<strong>in</strong>g can<br />

be completed <strong>in</strong> no more than a few hours.

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